Comparison of Tai Chi and Frenkel's Exercises in Patients With Stroke

NCT ID: NCT06509646

Last Updated: 2024-07-19

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-02-01
• Study Completion Date: 2024-07-20

Brief Summary

The main objective of this study is to compare the effectiveness of Tai Chi and Frenkel's exercises to improve balance, fall risk and activities of daily living in patients with stroke.

Detailed Description

A total of 44 patients will be recruited after inclusion and exclusion criteria. Patients will be recruited through nonprobability convenience sampling technique and will be randomized through Lottery method into either a Group A or a Group B, and for each group, the number of patients will be identical. Group A will receive Tai Chi exercises for 1-hour class, 3 times per week for 12 weeks along with routine physical therapy. Routine treatment includes range of motion (ROM) exercise, stretching & strengthening exercises, passive movements & gait training. Group A will receive the Tai Chi exercise with conventional treatment and Group B will receive Frenkel's exercise with conventional treatment. Treatment dosage will be 1 session per day of 1 hour class, 2 sets per session, and 5 repetitions per set, 3 times per week and for 12 weeks. Patients will be assessed at baseline and after the treatment using a variety of measurement scales. After the completion of this time period, the assessment of balance, activities of daily living and fall risk will be performed again and will be compared to baseline assessment to check the comparison between 2 interventions. The risk fall will be measured by Stratify Risk Assessment Tool, Activities of daily will be measured by The Barthel Index (BI) , while balance will be assessed by using berg balance scale (BBC). Data will be analyzed by using SPSS (Statistical Package for Social Sciences) 23 version.

Conditions

Stroke

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Goup A (Tia Chi Exercise)

• Warm up 5 minutes
• Routine Physical Therapy 20 minutes (which may include exercises such as stretching, strengthening, and range-of- motion exercises)
• Rest Interval 5 minute
• Yang style 24-posture short-form (16) for 30 minute Intensity: low Frequency: 1-2 times/week. Duration: ≤30 min (minutes)(18)
• Cool down 5 mins.

Group Type: EXPERIMENTAL

Tia Chi Exercise

Intervention Type: OTHER

• Yang style 24-posture short-form (16) for 30 minute It consists of 24 unique movements that are performed in a sequence. The form is designed to be easy to learn and can be completed in about six minutes.

Treatment dosage will be 1 session per day of 1 hour class, 2 sets per session, and 5 repetitions per set, 3 times per week and for 12 weeks

Group B (Frenkel's Exercise )

• Warm up 5 minutes
• Routine Physical Therapy 20 minutes (which may include exercises such as stretching, strengthening, and range-of- motion exercises)
• Rest Interval 5 minute
• Frenkel's exercises 30 minutes (Through these exercises, the patients would learn how to stay balanced and prevent falls by using their visual, somatosensory, and vestibular systems) 4. Rest interval 5 minutes 5. Intensity: low 6. Frequency: 1-2 times/week. 7. Duration: ≤30 min (minutes) 8. Cool down 5 mins

Group Type: ACTIVE_COMPARATOR

Frenkel's Exercise

Intervention Type: OTHER

Frenkel's exercises 30 minutes (Through these exercises, the patients would learn how to stay balanced and prevent falls by using their visual, somatosensory, and vestibular systems).

Treatment dosage will be 1 session per day of 1 hour class, 2 sets per session, and 5 repetitions per set, 3 times per week and for 12 weeks

Interventions

Tia Chi Exercise

• Yang style 24-posture short-form (16) for 30 minute It consists of 24 unique movements that are performed in a sequence. The form is designed to be easy to learn and can be completed in about six minutes.

Treatment dosage will be 1 session per day of 1 hour class, 2 sets per session, and 5 repetitions per set, 3 times per week and for 12 weeks

Intervention Type: OTHER

Frenkel's Exercise

Frenkel's exercises 30 minutes (Through these exercises, the patients would learn how to stay balanced and prevent falls by using their visual, somatosensory, and vestibular systems).

Treatment dosage will be 1 session per day of 1 hour class, 2 sets per session, and 5 repetitions per set, 3 times per week and for 12 weeks

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Community-dwelling survivors of stroke who were aged ≥50 years
• Both genders can participate in the study
• ≥3 months poststroke
• The vital signs were stable
• Survivors of both hemorrhagic and ischemic stroke
• Modified Rankin Scale 14 score of three or less
• Short Physical Performance Battery 15 score of 3 to 9
• Mini-Mental State Exam 16,17 score of 18 or greater.

Exclusion Criteria

• The subject is unable to perform exercises.
• Subjects with diagnosed vestibular disease.
• The subjects included in the experiment were normal elderly without stroke diseases.
• The subjects had dyskinesias and could not complete Tai Chi exercises.
• Serious medical condition (e.g. active cancer treatment.
• Stroke survivors whom had no disability that would interfere with study participation.
• Subject taking medications that increases the incidence of fall.
• Subjects who undergoes strength and balance training in the past 3 months.

• Minimum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Aruba Saeed, phd

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Alveena fatima

Lahore, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Imran Amjad, Phd

Role: CONTACT

imranamjad@riphah.edu.pk

03324390125

Facility Contacts

alveena fatima, m.phill

Role: primary

alveena.fatima@yahoo.com

03111231810

Other Identifiers

REC/RCR&AHS/23/0285 Faraha

Identifier Type: -

Identifier Source: org_study_id